Medication Therapy Management (MTM) Expansion

Intro

Under current law, medication therapy management (MTM) services are available to Medicare beneficiaries with multiple chronic diseases, with three chronic diseases being the maximum number a Part D plan sponsor may require for targeted enrollment. Additionally, MTM services are available to Medicare beneficiaries who Are taking multiple Part D drugs, with eight Part D drugs being the maximum number of drugs a Part D plan sponsor may require for targeted enrollment. Clinical data suggests that expanding access to MTM services to those with a single chronic condition will improve outcomes and potentially lower costs.

Regulatory

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